FORM 1023-EZ for STREET DOG HERO

Field Data
EIN 82-0916174
Case Number EO-2017086-000323
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STREET DOG HERO
Organization’s Mailing Address 19465 RANDALL COURT
City BEND
State OR
ZIP 97702
Accounting period End 12
Primary contact name MARIANNE COX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIANNE COX
PRESIDENT
19465 RANDALL COURT
BEND OR 97702

Officer/Director/Trustee Two

REBEKAH ZIMMERMAN
TREASURER
6 COLONY TRAIL DRIVE
MANDEVILLE LA 70448

Officer/Director/Trustee Three

AMY PARCELL
SECRETARY
20286 NARNIA PLACE
BEND OR 97702

Organization’s website WWW.STREETDOGHER.ORG
Organization’s email STREETDOGHERO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2017
Organization Incorporation State OR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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